Abstract

A safe and effective adjuvant is necessary to induce reliable protective efficacy of the protein-based vaccines against tuberculosis (TB). Mycobacterial components, such as synthetic cord factor and arabinogalactan, have been used as one of the adjuvant components. Mycobacterium bovis bacillus Calmette- Guérin cell-wall skeleton (BCG-CWS) has been used as an effective immune-stimulator. However, it is not proven whether BCG-CWS can be an effective adjuvant for the subunit protein vaccine of TB. In this study, we demonstrated that the BCG-CWS effectively coupled with Ag85B and enhanced the conjugated Ag85B activity on the maturation of dendritic cells (DCs). Ag85B-BCG-CWS-matured DCs induced significant Th1 and Th17 responses when compared to BCG-CWS or Ag85B alone. In addition, significant Ag85B-specific Th1 and Th17 responses were induced in Ag85B-BCG-CWS-immunized mice before infection with M. tuberculosis and maintained after infection. Moreover, Ag85B-BCG-CWS showed significant protective effect comparable to live BCG at 6 weeks after infection and maintained its protective efficacy at 32 weeks post-challenge, whereas live BCG did not. These results suggest that the BCG-CWS may be an effective adjuvant candidate for a protein-based vaccine against TB.

Highlights

  • Tuberculosis (TB) is a major infectious disease that causes 1.3 million deaths per year worldwide [1]

  • We have previously demonstrated that the bacillus Calmette-Guerin (BCG)-cell wall skeleton (BCG-CWS) is a potent immune-adjuvant that promotes antibody production and Th1-skewed immune responses against a conjugated antigen [11]

  • We investigated the dendritic cells (DCs) maturation activity and the vaccine efficacy of bacillus Calmette- Guerin cell-wall skeleton (BCG-CWS) conjugated with Ag85B, which is one of the antigens frequently used in clinical trials of TB vaccines

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Summary

Introduction

Tuberculosis (TB) is a major infectious disease that causes 1.3 million deaths per year worldwide [1]. The reactivation risk of the latent TB in an immunosuppressed individual and the advent of multidrug-resistant TB have made the control of TB difficult [2,3,4]. Vaccination is one of the best methods to control infectious diseases. The only TB vaccine, Mycobacterium bovis bacillus Calmette-Guerin (BCG), is unable to significantly prevent adult pulmonary TB and the reactivation of dormant TB [5]. Research on the protein-based vaccines have been focusing on a reliable candidate for BCG-prime boosting. Because a protein alone induces a weak immune response, the adjuvants or viral vectors have been used as an antigen delivery

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